Original Investigation

Electronic Patient-Reported Outcomes With Vital Sign Monitoring During Trastuzumab Deruxtecan Therapy

JAMA Network Open 10.1001/jamanetworkopen.2025.27403

August 15, 2025 at 11:00 AM EDT

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Do electronic patient-reported outcomes with vital sign monitoring improve quality of life (QOL) for patients with ERBB2 (formerly HER2 or HER2/neu)-positive metastatic breast cancer undergoing trastuzumab deruxtecan (T-DXd) treatment?In this randomized clinical trial of 111 patients with ERBB2-positive metastatic breast cancer undergoing T-DXd treatment, symptom tracking and vital sign monitoring were associated with higher QOL scores at week 24 compared with usual care, with significant improvements in global health status and functional domains.These findings suggest that incorporating a comprehensive monitoring strategy into clinical practice may help maintain or prevent QOL deterioration among patients receiving T-DXd treatment.

Corresponding Author: Takafumi Sangai, MD, PhD, Department of Breast and Thyroid Surgery, Kitasato University School of Medicine, 1-15-1 Kitazato, Minami-ku, Sagamihara-shi, Kanagawa 252-0374, Japan (sangai@med.kitasato-u.ac.jp).

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